| Mr Joseph Emilian Ollivier, PHYSICIAN ASSISTANT | |
|
500 W Fort St, Boise, ID 83702-4501 | |
| (208) 422-1000 | |
| Not Available |
| Full Name | Mr Joseph Emilian Ollivier |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 500 W Fort St, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427028067 | NPI | - | NPPES |
| 085960 | Other | ID | BLUE SHIELD |
| PA351 | Other | ID | STATE LICENSE |
| 000010032407 | Other | ID | BLUE SHIELD OF IDAHO |
| 806032100 | Medicaid | ID | |
| PAIM4 | Other | ID | BLUE CROSS OF IDAHO |
| 806032101 | Medicaid | ID | |
| 820227163G040 | Other | ID | TRICARE |
| PA351 | Other | ID | BLUE CROSS OF IDAHO |
| 000010032406 | Other | ID | BLUE SHIELD OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-351 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA351 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph Emilian Ollivier, PHYSICIAN ASSISTANT 1147 Sunburst St, Twin Falls, ID 83301-3151 Ph: (208) 320-7250 | Mr Joseph Emilian Ollivier, PHYSICIAN ASSISTANT 500 W Fort St, Boise, ID 83702-4501 Ph: (208) 422-1000 |
Brittany Guthrie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-302-4400 Fax: 208-302-4255 | |
Kaydon J Lloyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd Ste 415, Boise, ID 83706 Phone: 208-302-2600 Fax: 208-302-2625 | |
Polina Kokoulina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704 Phone: 208-367-5050 Fax: 208-367-5151 | |
Natalie Marie Hague, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712 Phone: 208-381-6930 Fax: 208-381-6931 | |
Micah Ray Tobin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 Fax: 208-302-5955 | |
Jason H. Mcbride, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 | |
Patrick B Mccabe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1188 W University Dr, Boise, ID 83706 Phone: 208-336-8250 Fax: 208-345-9514 |